Incorporation of Information Technology into Assisted Health Care: An Empirical Study
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Incorporation of Information Technology into Assisted Health Care: An Empirical StudyMichelle Delmonico and Bruce White
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IS/IT pervades almost everything In healthcare, IT does ‘everything’ from
electronic health records to computer guided surgery.
This paper investigates technology adoption in assisted living healthcare facilities.
Overview
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The main author is Michelle (Merrill) Delmonico. At the time this was written, Michelle was an MBA student at Quinnipiac University in Hamden, CT. Michelle has worked in healthcare.
The secondary author is Bruce White, Professor of Information Systems Management at Quinnipiac University. Michelle started this study as an independent study at Quinnipiac
The authors
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The authors developed a questionnaire that was sent to over 100 assisted living facilities in Pennsylvania and Connecticut.
The questionnaire was distributed by paper / standard mail
The study
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We found early on that assisted living facilities might be in the ‘backwater’ of IT adoption and use. Where a similar survey of acute care hospitals was distributed using ‘SurveyMonkey’, we found few assisted living facilities with websites or with easily findable e-mail addresses.
Thus, the paper surveys were distributed addressed to ‘administrator’
The study continued
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The questionnaire had 15 questions. Some questions:
Does your facility utilize electronic health records?
What types of monitoring and sensor devices are utilized?
Do residents have wireless emergency response devices?
Does your facility have any robotic assistance
Questionnaire
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Does your facility have any web based software programs to enable providers, caregivers and/or family members to monitor residents?
How important is adapting new or advanced technology to your facility?
How frequently is the pursuit of advanced or new technologies discussed at board/management facility meetings?
Questions - continued
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Does your facility have a strategic plan for implementing advanced or new technologies to improve resident care?
For how long has your facility planned and budgeted financial resources for the purchase of advanced or new technologies?
What do you perceive to be the biggest barriers in implementing aging service Technologies?
Questions - continued
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What strategies have you employed to overcome the barriers to implementing aging service technologies?
Are there any questions / suggestions / concerns about implementing various technologies into assisted living facilities?
Questions - continued
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Our Results
9.5
85.7
4.8
Electronic Health Records (EHR)
YesNo Considering
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Use of Sensing Devices
76
24
Use of Sensing Devices
YesNo
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Motion Sensors Electronic Tracking Prescription Reminders
Anti-wandering doors
Anti-Fall0
10
20
30
40
50
60
Types of Electronic Monitoring
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76
24
Wireless Response Buttons
YesNo
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38
519
14
24
NeverLess than 1 year1 to 2 years3 to 5 yearsMore than 5
Budgeting for Technology
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Barriers to Implementing Technology
Cost
User U
nfrien
dly
Facilit
y Infr
astru
cture
Lack o
f Tra
ining
Provid
er R
esist
ance
ALL of th
e abo
ve0
10
20
30
40
50
60
70
80
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Implementation Strategies
None Clinical Leader
Administrative Leader
Training after adoption
Employee Participation
0
5
10
15
20
25
30
35
40
45
50
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Positive: High adoption rate of various sensorsAnti-wandering doorsWireless devices (pendants, etc.)
Summary
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87% have not looked at electronic health records
76% do not have strategic plans for implementing technology
38% have NEVER budgeted for information technologies
Negatives
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71% say ‘cost’ is the biggest barrier to bringing technology solutions in to assisted living facilities
52% have ‘anti-wandering’ doors
(Many of these results are in general agreement with other studies, include CAST – the Center for Aging Services Technologies)
As expected
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This was an initial study We selected two eastern states We had a fairly low response rate We found it hard to get the surveys to
the right persons and to have them fill it out
We think this does establish an early ‘baseline’ and that assisted living facilities will continue to adopt technologies as the ‘baby boomers’ need care.
Observations
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We would like to try this again – with more states and more respondents
We would also like to interview technology adoption leaders in assisted living facilities for a ‘qualitative’ view of the information
Directions
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Questions, Comments, Suggestions?
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Thank you!!!